Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin C Kennon, MD

Individual provider Orthopaedic Surgery Physician · NPI 1104265099

Justin C Kennon, MD is an Orthopedic Surgery in Knoxville, Tennessee. Qualified in 2013, 13 years ago. Practices with Physiotherapy Associates Inc, a 1,458-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205
Phone: (865) 690-4861
Fax: (865) 560-8525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6484 Kingston Pike, Knoxville, TN 37919-4863 — (865) 690-4861
  • 988 Oak Ridge Tpke Ste 100, Oak Ridge, TN 37830-6919 — (865) 483-8478

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 58814 (TN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 58814 (TN)

Record details

NPI number1104265099
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2013
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Physiotherapy Associates Inc — 1458 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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